Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,070.00 / $6,012.00	Facility		$617.00	$2,070.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $392.53 / $971.07	Professional		$130.71	$392.53	$971.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $222.29 / $222.29	Professional		$222.29	$222.29	$222.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $624.78 / $735.03 / $1,572.47	Professional		$624.78	$735.03	$1,572.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $719.77 / $1,418.21	Facility		$323.00	$719.77	$1,418.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $302.54 / $1,430.31	Professional		$144.36	$302.54	$1,430.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $292.07 / $292.07 / $292.07	Facility		$292.07	$292.07	$292.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $868.63 / $1,151.52 / $1,471.30	Professional		$868.63	$1,151.52	$1,471.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,891.75 / $2,546.28 / $4,202.42	Facility		$1,891.75	$2,546.28	$4,202.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.03 / $147.03 / $149.66	Professional		$147.03	$147.03	$149.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,578.00 / $7,175.00	Facility		$617.00	$2,578.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $413.06 / $1,613.61	Professional		$135.69	$413.06	$1,613.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.00 / $1,045.00 / $1,045.00	Facility		$1,045.00	$1,045.00	$1,045.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,238.80 / $2,211.90	Professional		$4.00	$1,238.80	$2,211.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $714.12 / $1,404.00	Facility		$230.35	$714.12	$1,404.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $307.81 / $1,425.80	Professional		$145.41	$307.81	$1,425.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $576.94 / $3,774.10	Facility		$132.69	$576.94	$3,774.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $736.59 / $816.60	Professional		$132.69	$736.59	$816.60
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $1,689.00 / $3,742.00	Facility		$573.00	$1,689.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.48 / $975.66 / $1,681.60	Professional		$732.48	$975.66	$1,681.60